Individual
MELISSA BAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDS
Contact information
Practice address
10855 SW 112TH AVE APT 201, MIAMI, FL 33176-3292
(305) 417-5660
Mailing address
10855 SW 112TH AVE APT 201, MIAMI, FL 33176-3292
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
SS1417
FL
103TS0200X
School Psychologist
—
—
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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